P Praxis·MD
● Active Type 1 · Individual

Anthony D Mancuso, MD

Anesthesiology·Vidalia, GA· NPI 1952393258 · Enumerated 2005 · 20 years on NPI
Mancuso is 1 of 10 anesthesiology providers in Vidalia and 1 of 1712 in Georgia.
NPI age
20 years
Enumerated 2005-08-22
Primary specialty
Anesthesiology
Plus 1 subspecialty
Licensed in
GA, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1712 active anesthesiology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
1 Meadows Pkwy
Vidalia, GA 304748759
📞 9125385359fax 9125385228
Mailing address
Po Box 1303
Vidalia, GA 304751303
📞 9125385359fax 9125385228

Specialties

  • Anesthesiology Primary
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    GA license #074890KY license #39238 taxonomy 207L00000X

Identifiers

TypeValueNotes
05 (KY) 64098015
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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